Browsing by Author "Pradhan, HK"
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Publication Misleading Diagnosis of Dysgerminoma in a Young Asymptomatic Patient(Kathmandu University, 2020) Maharjan, O; Bajracharya, N; Dangal, G; Karki, A; Pradhan, HK; Shrestha, R; Bhattachan, K; Tiwari, K; Bharati, S; Maharjan, SABSTRACT Dysgerminomas account for approximately one third of all malignant ovarian germ cell tumors (tumors arising from ovarian germinal elements) and are the most common ovarian malignancy detected during pregnancy. They are the only germ cell malignancy with a significant rate of bilateral ovarian involvement that is 15-20 percent. They have a variable gross appearance, but in general are solid, pink to tan to cream colored lobulated masses. They have the best prognosis of all malignant ovarian germ cell tumor variants. Two thirds are stage I at diagnosis, and prognosis is excellent even for those with advanced disease due to exquisite tumor chemosensitivity. The 5 year disease specific survival rate approximates 99 percent. This is a case report of a huge ovarian dysgerminoma in a young unmarried lady that was quite asymptomatic. She underwent laparotomy with right ovarian cystectomy. KEY WORDS Dysgerminoma, Germ cell tumor, Malignant, Pvarian malignanciesPublication Vaginal Atresia with Cervical Agenesis, a Rare Congenital Malformation(Kathmandu University, 2021) Regmi, DR; Dangal, G; Karki, A; Pradhan, HK; Shrestha, R; Bhattachan, K; Tiwari, KD; Bharati, S; Manandhar, P; Maharjan, SABSTRACT Congenital vaginal atresia and cervical agenesis is a rare congenital abnormality of the female genital tract. Here we report a case of 15-year old girl with primary amenorrhea with hematometra, presented with lower abdominal mass. She was symptomatic since 5 months and visited local hospital after 4 months of onset of her symptoms when it became severe, where diagnostic laparotomy was performed for suspected Adnexal mass. Intraoperatively adnexal mass was adhered with and extended up to the uterus with 16 weeks size of uterus. Abdomen was closed without any further intervention and was referred to higher center for needful. When she presented to Kathmandu Model Hospital, she was asymptomatic on her 5th post-operative day of laparotomy. We planned for surgical intervention after examination and investigation. Drainage with vaginoplasty with amnion graft with placement of mould was done. KEY WORDS Congenital cervical agenesis, Hematometra, Vaginal atresia, VaginoplastyPublication Vesicovaginal Fistula Following Trauma(Kathmandu University, 2024) Shrestha, S; Dangal, G; Karki, A; Pradhan, HK; Shrestha, R; Bhattachan, K; Sah, SABSTRACT Vesicovaginal Fistula (VVF) is an abnormal communication between the bladder and vagina. The major causes of vesicovaginal fistula in developing countries are associated with obstructed labour whereas in developed countries, vesicovaginal fistula results from pelvic surgeries. Rarely vesicovaginal fistula may result due to direct trauma to the pelvis. This is a case of 17 years female who presented with the history of fall from tree 5 years back, sustained genital injury and complained of involuntary leakage of urine one month after the incident. She underwent fistula repair with vaginal approach using Latzko technique. KEY WORDS Vesicovaginal fistula, Trauma, Transvaginal